急性重症胰腺炎的诊治经验  

EXPERIENCES FROM DIAGNOSING AND TREATING 238 PATIENTS OF SEVERE ACUTE PANCREATITIS

作　　者：赵祥[1] 应嘉钧[1] 

机构地区：[1]浙江省嘉兴市第一医院外科,嘉兴314000

出　　处：《肝胆外科杂志》2003年第1期22-23,共2页Journal of Hepatobiliary Surgery

摘　　要：目的　探讨重症急性胰腺炎的诊治经验。方法　回顾复习嘉兴市第一医院外科自 1995年 1月～ 2 0 0 0年 1月诊治的 2 38例重症急性胰腺炎 ,手术 110例手术 ,12 8例非手术处理 ,全部均实施个体化治疗方案。结果　 2 38例重症急性胰腺炎 ,死亡 30例 (14 .4 % ) ;110例手术 ,死亡 10例 (9.9% ) ;余未手术 12 8例 ,死亡 2 0例 (17.8% )。结论　实行综合性非手术治疗仍有许多病例获得成功 。Objective To probe the experiences in diagnosis and management of severe acute pancreatitis.Methods A retrospective review for 238 patients(130 females,108 males)diagnosed as severe acute pancreatitis was carried out at the department of surgery,Jiaxing First Hospital,from January 1,1995,to January 1,2000.For the 238 patients,110 patients were surgically treated and the remaining 128 patients were treated with conservative nonsurgical plan.Therapeutic plan for each patient within the group was personalized.Results A total of 30 patients(14.4%)died within the whole group of 238 patients diagnosed as severe acute pancreatitis.10 patients(9.9%)died within the group of 110 patients undergone surgery treatment;For the group within any surgery,20 out of (17.8%)died.Conclusion Comprehensively conservative therapy can be applied successfully in most patients with severe acute pancreatitis with a reasonable outcome .The success rate of operation was also elevated greatly.

关 键 词：重症胰腺炎 综合性手术 诊断 

分 类 号：R657.51[医药卫生—外科学]